Idaho Home Health & Hospice

The agency failed to ensure death records were complete for 2 of 3 patients (Patients #3 & #6) who died and whose records were reviewed.

The agency failed to identify need for social work intervention during the initial comprehensive assessment for 1 of 5 discharged patients (Patient #6) whose records were reviewed.

The facility failed to ensure a patient’s physician was notified a discharge was being considered prior to the discharge for 1 of 5 patients (Patient #7) who were discharged and whose records were reviewed.

The agency failed to ensure skilled professional services assured ongoing interdisciplinary assessment, development of a POC in partnership with the patient, services provided as ordered by the physician, patient education, communication with physicians, and comprehensive and accurate MSW…

The agency failed to ensure care followed the patients' written POC, for 5 of 17 patients (#6, #7, #13, #14, and #16) whose records were reviewed.

The agency failed to ensure patients were provided a written notice of patients' rights and responsibilities in advance of furnishing care to the patient for 2 of 16 patients (#10 and #17) whose SOC records were reviewed.

The agency failed to ensure patients were given the opportunity to be involved in their POC, and consent to services prior to the initiation of services for 3 of 16 patients (#10, #12, and #17) whose SOC records were reviewed.

The agency failed to ensure patients were informed in writing of the extent to which payment could be expected and the charges the individual might have to pay for 1 of 5 patients (Patient #4) for whom a Medicare Advantage Plan was the payer and whose SOC records were reviewed.

The agency failed to ensure medications were reconciled at the time of admission and a medication list was kept current and reconciled for 4 of 17 patients (#1, #3, #4, and #13) whose records were reviewed.

The agency failed to ensure the POC was accurate and addressed all pertinent interventions, safety measures, treatments, and supplies, for 2 of 17 patients (#1 and #13) whose records were reviewed.

The agency failed to ensure all orders were recorded in the patient's POC for 1 of 17 patients (Patient #17) whose records were reviewed.

The agency failed to ensure skilled professional staff performed ongoing interdisciplinary assessment of 2 of 17 patients (#12 and #13) whose records were reviewed.

The agency failed to ensure skilled professional staff developed a comprehensive POC in partnership with the patient for 1 of 17 patients (Patient #12) whose records were reviewed.

The agency failed to ensure skilled services were provided as ordered by the physician on patients' POCs for 5 of 17 patients (#3, #6, #7, #12, and #15) whose records were reviewed.

The agency failed to ensure skilled professionals provided patient education required to promote positive patient outcomes for 1 of 17 patients (Patient #12) whose records were reviewed.

The agency failed to ensure skilled professionals notified physicians of changes in patients' conditions for 3 of 17 patients (#1, #4, and #12) whose records were reviewed.

The agency failed to ensure care provided by the LPN was supervised by an RN for 1 of 5 patients (Patient #12) who received LPN services and whose records were reviewed.

The agency failed to ensure the MSW completed a comprehensive and accurate evaluation to identify the patient's needs and provided assistance in meeting those needs for 1 of 4 patients (Patient #1) who received social services and whose records were reviewed.